Organization · NPI-2
360care Services Of Kentucky LLC
Social Worker · Louisville, KY
NPI number1669113023
StatusActive
Last updated in NPPESJan 2, 2024
Details
- NPI
- 1669113023
- Entity type
- Organization (NPI-2)
- Legal business name
- 360care Services Of Kentucky LLC
- Organization subpart
- No
- Enumeration date
- Apr 7, 2022
- Certification date
- Jan 2, 2024
- Last updated
- Jan 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103T00000X | Psychologist | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 213E00000X | Podiatrist | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
12910 Shelbyville Rd Ste 300Louisville, KY 40243-2404
Phone 502-244-2420 · Fax 502-996-8282
Mailing address
12910 Shelbyville Rd Ste 300Louisville, KY 40243-2404
Phone 502-244-2420 · Fax 502-996-8282
Authorized official
John Dadds
Chief Financial Officer
5022442420
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